| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
511 |
472 |
$151K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
453 |
385 |
$34K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
67 |
65 |
$20K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
60 |
50 |
$9K |
| A4215 |
Needle, sterile, any size, each |
167 |
150 |
$7K |
| A4322 |
Irrigation syringe, bulb or piston, each |
123 |
96 |
$6K |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
338 |
310 |
$6K |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
135 |
123 |
$4K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
111 |
87 |
$4K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
32 |
27 |
$4K |
| A4259 |
Lancets, per box of 100 |
342 |
299 |
$4K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
14 |
12 |
$899.40 |
| A4310 |
Insertion tray without drainage bag and without catheter (accessories only) |
50 |
39 |
$846.24 |
| A5120 |
Skin barrier, wipes or swabs, each |
55 |
49 |
$486.59 |
| A4456 |
Adhesive remover, wipes, any type, each |
24 |
24 |
$374.18 |
| A4338 |
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
13 |
12 |
$142.02 |